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KMID : 0882420070730001061
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Korean Journal of Medicine
2007 Volume.73 No. 0 p.1061 ~ p.1065
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A case of splenic infarction during acute malaria
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Chung Hye-Soo
Eun Chai-Ryoung
Choi Hey-Jung
Kim Nam-Hoon
Lee Sang-Hoon
Ha Seung-Hyung
Ji Jeong-Hoon
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Abstract
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Malaria is a protozoan disease that’s transmitted by the bite of infected Anopheles mosquitoes. During malarial infection, altered splenic structure and function can produce splenic complications such as hematoma formation, rupture, hypersplenism and infarction. Splenic infarction is a rare complication and it is probably underdiagnosed. In Korea, Plasmodium vivax is the most frequent malarial infection. We described here the case of a 48-year-old male who had acute Plasmodium vivax malaria complicated with splenic infarction. Management was restricted to anti-malarial medication and analgesia. The clinical outcome was favorable in this case. Clinicians should be aware that left hypochondrial pain in acute malaria patients may be due to splenic infarction. It is noteworthy that this is the first report about splenic infarction by Plasmodium vivax malaria.(Korean J Med 73:S1061-S1065, 2007)
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KEYWORD
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Spleen, Infarction, Malaria
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